| NPI | 1447640446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA E COLLINS Behavior Support Consultant 678-453-6166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 305S00000X Point of Service | |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-06-09 |